NPI | 1851835441 |
---|---|
Professional Name | SANDRA CHARLENE LEE GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20847) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 20847) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 64997) | |
Enumeration Date | 2016-12-15 |
Last Update Date | 2024-07-22 |